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	<title>个人信息表</title>
</head>
	<body>
		<div class="html-loding"><img src="../../images/zhuanchang.gif"></div>
		<ul class="case-detail font3">
		    <li>
		    	<span>姓名</span>
		    	<font class="name"></font>
		    </li>
		     <li>
		    	<span>性别</span>
		    	<font class="sex"></font>
		    </li>
		    
		    <li>
		    	<span>身份证号</span>
		    	<font class="idcard"></font>
		    </li>
		     <li>
		    	<span>出生日期</span>
		    	<font class="birthday"></font>
		    </li>
		    <li>
		    	<span>本人电话</span>
		    	<font class="personal-phone"></font>
		    </li>
		     <li>
		    	<span>联系人姓名</span>
		    	<font class="concactren-name"></font>
		    </li>
		     <li>
		    	<span>联系人电话</span>
		    	<font class="concactrentelephone"></font>
		    </li>
		     <li>
		    	<span>常驻类型</span>
		    	<font class="isResident"></font>
		    </li>
		     <li>
		    	<span>民族</span>
		    	<font class="nation"></font>
		    </li>
		    <li>
		    	<span>血型</span>
		    	<font class="blood"></font>
		    </li>
		</ul>
		
		<ul class="case-detail font3">
		    <li>
		    	<span>工作单位</span>
	    		<font class="work-unit"></font>
		    </li>
		    <li>
		    	<span>文化程度</span>
	    		<font class="education"></font>
		    </li>
		    <li>
		    	<span>职业</span>
	    		<font class="occupation"></font>
		    </li>
		     <li>
		    	<span>婚姻状况</span>
	    		<font class="marital"></font>
		    </li>
		</ul>	
		
		<ul class="case-detail medicalpay-infor font3">
    		<li >
    			<span class="font4">医疗费用支付方式</span>
    			<ol class="paytype">
    				
    			</ol>
    		</li>
    		<li>
    			<span class="font4">药物过敏史</span>
    			<ol class="allergy">
    			
    			</ol>
    			
    		</li>
    		<!--<li class="commentent">
    			<div class="commentent1">
    		 		<a class="font4">备注</a>
    				<aside class="font3">这里展示备注消息这里展示备注消息这里展示备注消息这里展示备注消息这里展示备注消息这里展示备注消息这里展示备注消息这里展示备注消息这里展示备注消息</aside>
    			</div>
    		</li>-->
    		<li>
    			<span>暴露史</span>
    			<ol class="exposure">
    				
    			</ol>
    		</li>
    	</ul>
		
		<div class="history-illness">既往病史</div>
		<ul class="case-detail font3">
			<!--<li>
    			<span class="font4">疾病</span>
    			<ol class="disease">
    				<!--<li>1.严重精神障碍</li>
    				<li>2.结核病</li>
    				<li>3.职业病</li>
    			</ol>
    		</li>-->
    		<li class="animat">
    			<span class="font4">疾病</span>
    			<ol class="disease">
    				<!--<li><span>严重精神障碍</span><div>确认时间:2009-08-03</div></li>
    				<li><span>结核病</span><div>确认时间:2012-11-16</div></li>
    				<li><span>职业病</span><div>确认时间:2016-04-12</div></li>-->
    			</ol>
    		</li>
    		<li class="animat">
    			<span class="font4">手术</span>
    			<ol class="operation">
    			
    			</ol>
    		</li>
    		<li class="animat">
    			<span  class="font4">外伤</span>
    			<ol class="trauma">
    				
    			</ol>
    		</li>
    		<li class="animat">
    			<span class="font4">输血</span>
    			<ol class="transfusion">
    				
    			</ol>
    		</li>
		</ul>
		<div class="life-situation font4">家族史</div>
		<ul class="case-detail font3">
			<li>
				<ul class="familyhistory font3">
					<li class="paddLeft">
						<span class="relationName1"></span>
						<ol class="fatherhistory">
	    				<!--<li>1.糖尿病</li>
	    				<li>2.冠心病</li>
	    				<li>3.其他</li>-->
	    					
    					</ol>
					</li>
					
					<li class="paddLeft">
						<span class="relationName2"></span>
						<ol class="motherhistory">
	    				<!--<li>1.糖尿病</li>
	    				<li>2.冠心病</li>
	    				<li>3.其他</li>-->
	    				
    					</ol>
					</li>
					<li class="paddLeft">
						<span class="relationName3"></span>
	    				<ol class="compatriothistory">
		    				<!--<li>1.糖尿病</li>
		    				<li>2.冠心病</li>
		    				<li>3.其他</li>-->
		    				
	    				</ol>
	    			</li>
	    			<li class="paddLeft">
	    				<span class="relationName4"></span>
	    				<ol class="childrenhistory">
		    				<!--<li>1.糖尿病</li>
		    				<li>2.冠心病</li>
		    				<li>3.其他</li>-->
		    				
	    				</ol>
	    			</li>
	    				
				</ul>
			</li>
		</ul>

		<ul class="case-detail font3">
			<li>
		    	<span>遗传病史</span>
	    		<ol class="heredity">
	    			
	    		</ol>
		    </li>
		</ul>
		
		<ul class="case-detail font3">
			<li>
				<span class="font4">残疾情况</span>
				<ol class="disability">
					<!--<li>1. 视力残疾</li>
					<li>2. 听力残疾</li>
					<li>3. 言语残疾</li>-->
				</ol>
			</li>
			<!--<li class="commentent">
    			<div class="commentent2">
    		 		<a>备注</a>
    				<aside></aside>
    			</div>
    		</li>-->
		</ul>
		
		<div class="life-situation font4">生活环境</div>
		<ul class="case-detail font3">
		    <li>
		    	<span>厨房排风设施</span>
	    		<font class="exhaustair"></font>
		    </li>
		    <li>
		    	<span>燃料类型</span>
		    	<font class="fueltype"></font>
		    </li>
		    <li>
		    	<span>饮水</span>
		    	<font class="water"></font>
		    </li>
		    <li>
		    	<span>厕所</span>
		    	<font class="toilet"></font>
		    </li>
		    <li>
		    	<span>禽畜栏</span>
		    	<font class="poultry"></font>
		    </li>
		</ul>
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